West Community Health · 2019-12-10 · This is the annual report of the 2018‐2020 Regional West Medical Center Community Health Improvement Plan (CHIP). The Public Health Accreditation

2018 Community Health Improvement Plan 1 | P a g e

RegionalWest Medical Center

2018 Community Health Improvement Plan

Report


Contents Purpose ..................................................................................................................................................................... 3

About Regional West Medical Center ............................................................................................................ 4

Community Health Needs Assessment ......................................................................................................... 6

Priority Area 1: Chronic Disease ..................................................................................................................... 9

Priority Area 1A: Cardiovascular Disease ........................................................................................... 9

Priority Area 1B: Diabetes ..................................................................................................................... 16

Priority Area 1C: Cancer ......................................................................................................................... 19

Strategies for Priority Area 1: Chronic Disease ................................................................................. 27

Priority Area 2: Injury Prevention .............................................................................................................. 28

Priority Area 2A: Unintentional Injuries .......................................................................................... 28

Priority Area 2B: Intentional Injuries................................................................................................ 33

Strategies for Priority Area 2: Injury Prevention .............................................................................. 38

Priority Area 3: Behavioral Health .............................................................................................................. 39

Strategies for Priority Area 3: Behavioral Health ............................................................................. 44

Priority Area 4: Access to Care ..................................................................................................................... 45

Strategies for Priority Area 4: Access to Care ..................................................................................... 47

Considerations for Revisions ......................................................................................................................... 48

Conclusion............................................................................................................................................................. 49

Glossary ................................................................................................................................................................. 50


Purpose This is the annual report of the 2018‐2020 Regional West Medical Center Community Health Improvement Plan (CHIP). The Public Health Accreditation Board (PHAB) defines a CHIP as a “long‐term, systematic effort to address public health problems on the basis of the results of community health assessment activities and the community health improvement process.”

This annual report reflects the activities and collaborative efforts of Regional West Health Services, Panhandle Public Health District, and Scotts Bluff County Health Department. This document serves as a progress review on the strategies that were developed in the 2018‐2020 CHIP and the activities that have been implemented since then.


About Regional West Medical Center

Regional West Health Services in Scottsbluff, Neb., is the parent company of Regional West Medical Center, an 188‐bed regional referral center and one of three Level II Trauma Centers in the state. The trauma program includes Air Link air ambulance service, which is fully accredited by The Commission on Accreditation of Medical Transport Systems (CAMTS).

As the region’s only tertiary referral medical center, Regional West offers care that spans more than 32 medical specialties provided by over 28 physician clinics. With nearly 300 in‐network providers and over 2,000 employees, Regional West provides comprehensive and innovative health care services for the people of western Nebraska and neighboring states of Colorado, South Dakota, and Wyoming. Regional West Health Services includes:

• Regional West Medical Center—A 188‐bed regional referral center and a Level II Trauma Center

• Regional West Physicians Clinic—Western Nebraska's and central eastern Wyoming's largest multispecialty medical and surgical group

• Regional West Garden County, Oshkosh—A 10‐bed acute care hospital, health care clinic,

and 40‐bed intermediate care facility that serves residents in the southeastern Nebraska panhandle region

• Regional West Laboratory Services—A hospital‐based laboratory offering a full range of

services, including reference laboratory services, to health care providers throughout Nebraska, Wyoming, South Dakota, and Iowa. It is accredited by the Commission on Laboratory Accreditation of the College of American Pathologists (CAP)

• Regional Care, Inc. (RCI)—Based in Scottsbluff, RCI is one of the nation's premier

independent third‐party administrators for health care benefits; providing cost, medical, and claims management for clients throughout the United States

• The Village at Regional West—A full‐service retirement community adjacent to Regional West

Medical Center that offers independent, independent‐plus, and assisted living apartments for persons age 55‐plus

• Regional West Foundation—A 501(c) (3) non‐profit organization developed to enhance the

services, programs, and projects of Regional West Health Services through donations, planned giving, and fundraising efforts

Regional West is an active leader in the Rural Nebraska Healthcare Network (RNHN) and supports the following Critical Access Hospitals in Nebraska:

• Regional West Garden County—Oshkosh

• Chadron Community Hospital—Chadron

• Gordon Memorial Health Services—Gordon


• Kimball Health Services—Kimball

• Box Butte General Hospital—Alliance

• Morrill County Community Hospital—Bridgeport

• Perkins County Health Services—Grant

• Sidney Regional Medical Center—Sidney

Award Winning Care

• The Joint Commission—Full accreditation by the Joint Commission demonstrates our commitment to providing the very best for our patients–quality, safety, and innovation.

• American College of Surgeons Commission on Cancer—Regional West’s cancer program is accredited by the American College of Surgeons Commission on Cancer and has been recognized for Outstanding Achievement.

• Bariatric Surgery Center of Excellence—Regional West Medical Center is MBSAQIP‐accredited by the American Society for Metabolic and Bariatric Surgery (ASMBS) and is designated as a Center of Excellence in Metabolic and Bariatric Surgery by Surgical Review Corporation.

• Commission on Accreditation of Rehabilitation Facilities (CARF)—Regional West’s

Acute Rehabilitation Unit and Stroke Care program are both certified by the Commission on Accreditation of Rehabilitation Facilities.

• Advanced Certification for Primary Stroke Centers—Regional West has earned The Joint Commission’s Gold Seal of Approval® and the American Heart Association/American Stroke Association’s Heart‐Check Mark for Advanced Certification for Primary Stroke Centers.

• AACVPR Certified—Regional West’s AACVPR certified cardiovascular rehabilitation

program is recognized as a leader in the field of cardiovascular rehabilitation by offering the most advanced practices available


Community Health Needs Assessment

In early 2017, Panhandle Public Health District (PPHD) and Scotts Bluff County Health Department (SBCHD) entered into a collaborative relationship to facilitate a comprehensive community health assessment and planning process. The Mobilizing for Action through Planning and Partnership (MAPP) process provided the foundation for the 2017 needs assessment process. As part of the MAPP process, quantitative and qualitative data were collected from the following four assessments:

• Community Themes and Strengths • Forces of Change • Local Public Health System • Community Health Status

The full report can be found at: https://www.rwhs.org/sites/default/files/rwmc_2017_chna_final_11302017.pdf

https://www.rwhs.org/sites/default/files/rwmc_2017_chna_final_11302017.pdf


Priority Areas Priority areas were determined in a series of meetings hosted in August 2017. The meetings included broad representation from the hospital. Data from the Community Health Needs Assessment was presented, and a scoring matrix was used to determine the most important priority areas. The priority areas determined were:

• Chronic Disease, specifically focusing on diabetes (specifically prevention, diagnosis, and management), cancer (specifically survivorship and access to care for diagnosis), and cardiovascular disease (specifically stroke)

• Injury Prevention, focusing on intentional and unintentional injuries

• Behavioral Health The group also decided to continue to focus on Access to Care across all priority areas.


Implementation Plan


Priority Area 1: Chronic Disease

Priority Area 1A: Cardiovascular Disease Objective 1A.1 Reduce the proportion of adults with hypertension (Healthy People 2020: HD S‐5.1) Strategy Blood Pressure in Adults : Screening (Source: The U.S. Preventive Services Task Force)

Activity Performance Measures Target Date Lead Partners

Train clinic staff and providers on how to educate patients on self‐measured blood pressure monitoring and

100% of clinic providers will complete training on self‐measured blood pressure monitoring

December 1, 2020 Community Health RWPC

Distribute wallet blood pressure cards to clinics to distribute to patients for self‐measured blood pressure monitoring.

100% of clinics will receive blood pressure wallet cards

100% of clinics will know who to contact to request more blood pressure wallet cards when needed

December 1, 2020 Community Health RWPC

Performance Measure Progress Update Action Plan

100% of clinic providers will complete training on self‐measured blood pressure monitoring

No training has been done in self‐measured BP monitoring with providers this year

Evaluation of education for providers in 2019‐20

100% of clinics will receive blood pressure wallet cards

Blood pressure wallet cards have been provided to Regional West Family Practice

Plans to expand the availability of wallet cards to other RWPC clinics in 2019

100% of clinics will know who to contact to request more blood pressure wallet cards when needed

Regional West Family Practice knows where to order wallet cards

Information of where to obtain the wallet cards will be provided the other RWPC clinics when the wallet cards are distributed in 2019

https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/high-blood-pressure-in-adults-screening


Objective 1A.2 Increase the proportion of adults with hypertension whose blood pressure is under control (Healthy People 2020: HDS‐12) Strategy Cardiovascular Disease; Self‐measured blood pressure monitoring interventions for improved blood pressure control –

When used alone or with other support (Source: The Community Guide) Activity Performance Measures Target Date Lead Partners

Community Health will increase the availability of free blood pressure checks in the community

Number of free B/P checks done in the community each year December 1, 2020 Community Health

Community Health will increase availability of SMBP instruction for the community by working with Community Pharmacy, Nursing Schools and RWPC

Number of SMBP instruction provided each year by Community Health and RWPC

December 1, 2020 Community Health


Number of free B/P checks done in the community each year by Community Health

Approximately 1,100 free B/P checks were done at community events by the Community Health staff in 2018.

Community Health will continue to offer free B/P screenings at worksites, school events, and community outreach areas.

Number of SMBP trainings provided each year by Community Health and RWPC

RWPC has no way of tracking BP education at this time. The Community Health Worker from Community Health has worked with over 20 people through the Nebraska Health Hub grant and health coaching.

Evaluation of reports that may be available in Cerner to track this information in 2019‐20. The Community Health Worker from Community Health will continue to provide SMBP as needed in 2019‐20 to Nebraska Hub clients.

https://www.thecommunityguide.org/findings/cardiovascular-disease-self-measured-blood-pressure-when-used-alone


Objective 1A.2 Increase the proportion of adults with hypertension whose blood pressure is under control (Healthy People 2020: HDS‐12) Strategy Team‐based care to improve blood pressure control (Source: The Community Guide) Activity Performance Measures Target Date Lead Partners

RWPC will implement the new hypertension protocol across all areas of RWPC Family Medicine.

Number of health care providers trained on new protocol

Number of health care providers implementing new protocol

December 1, 2020 RWPC Community Health

RWPC Family Medicine will increase monitoring of SMBP in hypertensive patients and enhance process to improve patient health.

Number of patients instructed on SMBP each year

Number of patients whose B/P logs are included in the chart each year

December 1, 2020 RWPC Community Health

RWPC will implement identification and recall of undiagnosed hypertensive patients through retrospective querying of the EHR.

Number of patients identified and recalled each year December 1, 2020 RWPC

Community Health

Performance Measure Progress Update Action Plan Number of health care providers

trained on new protocol 100% of Family Med providers are trained on the HTN protocol

Number of healthcare providers implementing new protocol

100% of the providers are to be implementing the protocol

Evaluation of reports that may be available in Cerner to track this information in 2019‐20

Number of patients instructed on SMBP each year RWPC has no way of tracking this number


Number of patients whose B/P logs are included in the chart each year

Less than 10% of logs are scanned into the chart in 2018


Number of patients identified and recalled each year

No way to track at this time. Once we have access to reports in Cerner than we can identify patient’s who’s BP is >140/90



Objective 1A.3 Increase the proportion of adults aged 20 years and older who are aware of the symptoms of and how to respond to a stroke (Healthy People 2020: HDS‐17)

Strategy Health Communication and Social Marketing: Campaigns That Include Mass Media and Health‐Related Product Distribution (Source: The Community Guide)


Increase the number of Regional West Health Services employees who know the warning signs of a stroke and when to seek medical care

Number of Regional West Health Services employees trained per year in stroke warning signs and how to help someone who is at risk of stroke

December 1, 2020

Stroke Program Nurse Education Department

Increase the number of people in the community who know the warning signs of a stroke and when to seek medical care by providing information through health fairs, community presentations, and media campaigns

Number of people in the community who are trained per year in stroke warning signs and how to help someone who is at risk of stroke

Number of trainings in the community each year that address the warning signs of stroke and when to get help

Number of social media posts per year

Number of radio spots and interviews per year

Number of television spots and interviews per year

Number of local and regional newspaper articles per year

December 1, 2020

Community Health Stroke Program Nurse Marketing Department

https://www.thecommunityguide.org/findings/health-communication-and-social-marketing-campaigns-include-mass-media-and-health-related


Performance Measure Progress Update Action Plan Number of Regional West Health

Services employees trained each year in the warning signs and how to help someone who is at risk

Yearly education requirement for stroke 100 series was completed by 1,417 persons

200 series (licensed staff) 568 persons

RWMC will continue to educate new employees upon hiring about stroke awareness

Number of people in the community who are trained per year in stroke warning signs and how to help someone who is at risk of stroke

168 people returned “post‐tests” following community stroke education from

community events. 1,100 people, ages 6‐65+, attended the Kids Safety Safari event

which included a stroke booth offering stroke education to youth and adults

RWMC will continue to provide stroke awareness education to the community

Number of trainings in the community each year addressing the warning signs of stroke and when to get help

5 community events were held. Kids Safety Safari provided education to over 1,600

adults and youth

RWMC will continue to provide stroke awareness education to the community

Number of social media posts per year 0 A stroke educational outreach media plan will be developed in 2019‐20

Number of radio spots and interviews per year 0 A stroke educational outreach media plan

will be developed in 2019‐20

Number of television spots and interviews per year 0 A stroke educational outreach media plan


Number of local and regional newspaper articles per year 0 A stroke educational outreach media plan



Objective 1A.4 Increase the proportion of eligible stroke patients who receive acute reperfusion therapy within 3 hours from symptom onset (Healthy People 2020: HDS‐19.3)

Strategy Cardiovascular Disease: Clinical Decision‐Support Systems (CDSS) (Source: The Community Guide) Activity Performance Measures Target Date Lead Partners

Educate RWHS medical providers regarding American Stroke Association stroke identification and treatment guidelines

Number of medical providers educated at RWHS each year

Number of medical providers following American Stroke Association treatment guidelines

December 1, 2020 Stroke Program Nurse

Provide Education to RWHS medical staff regarding American Stroke Association stroke identification and treatment guidelines

Number of medical staff educated at RWHS per year. December 1, 2020 Stroke Program Nurse

Provide Education to Scotts Bluff County EMS providers regarding American Stroke Association stroke identification and treatment guidelines

Number of EMS personnel trained throughout Scotts Bluff County per year

December 1, 2020 Stroke Program Nurse

Collection of the hospital’s stroke treatment performance data

Monthly reports of treatment performance data December 1, 2020 Stroke Program Nurse

Collection of hospital team performance data

Monthly report of hospital team performance data December 1, 2020 Stroke Program Nurse

Use of data to assess and continually improve quality of care for stroke patients

Quality improvement monthly reports December 1, 2020 Stroke Program Nurse



Number of medical providers educated at RWHS each year

12 physicians attended the 2018 Stroke Symposium onsite at RWMC 9 midlevel providers attended Stroke Symposium

RWMC will continue to provide education regarding stroke awareness to providers, staff, and the community in 2019‐20

Number of medical providers following American Stroke Association treatment guidelines

We have no data to show that there is any variance in providers utilizing the Clinical Practice Guidelines


Number of medical staff educated at RWHS per year

62 staff members (other than providers) attended the Stroke Symposium



Presentations regarding stroke awareness were made available to EMS personnel through the Stroke Symposium


Monthly reports of treatment performance data

Data is compiled on all ischemic, hemorrhagic and TIA patients. Data is utilized to develop educational opportunities and Performance Improvement projects.

RWMC will continue to evaluate the performance of the prevention and treatment of strokes in 2019‐20

Monthly report of hospital team performance data

Stroke reports data to the RWMC quality committee bi‐annually


Quality improvement monthly reports Stroke reports data to the RWMC Quality committee bi‐annually



Priority Area 1B: Diabetes Objective 1B.1 Reduce the number of new cases of diabetes diagnosed annually in the population (Healthy People 2020: D‐1) Strategy Prevent Type 2 Diabetes (Source: Prevent Diabetes STAT)

Activity Performance Measures Target Date Lead Partners Educate providers on importance of referral to the National Diabetes Prevention Program (NDPP)

Number of providers educated on NDPP

Number of referrals to NDPP December 31, 2020 Regional West Physicians

Clinic

Adoption of screening, testing, and referral into practice

Number of providers that adopt a policy to diagnose pre‐diabetes

Number of providers that adopt a policy to refer to NDPP, including bi‐annual retrospective querying

December 31, 2020 Regional West Physicians Clinic

Utilize EHR and other available software to alert patients of upcoming classes and recall into clinic

Number of NDPP classes that have reminder sent to patients

Number of patients with A1C in pre‐diabetic range identified by retrospective querying that are recalled into clinic using reminders

December 31, 2020 Regional West Physicians Clinic

Offer a minimum of 2, striving for 3, NDPP classes per year

Number of NDPP classes that start per year

Maintain at least one trained lifestyle coach on staff

December 31, 2020 Diabetes Care Center

Provide opportunity for all Regional West employees and their spouses (if on their health plan) to complete a health evaluation and biometric screening

Number of employees/spouses that complete biometric screening

Number of employees/spouses receiving A1C

December 31, 2020 Worksite Wellness Coordinator

Include NDPP in worksite wellness plan, to offer employees during paid work time

Number of employees who participate in a NDPP class per year December 31, 2020 Worksite Wellness

Coordinator

https://assets.ama-assn.org/sub/prevent-diabetes-stat/downloads/AMA-CDC-DPP-Guide-STAT.pdf



Number of providers educated on NDPP 100% of Family Medicine providers have been educated on NDPP and how to refer

Yearly education will be offered to providers.

Number of referrals to NDPP We have no way of tracking these referrals at this time. Going forward it will be tracked through Community Health.


Number of providers that adopt a policy to diagnose pre‐diabetes

The protocol was implemented November 2018. 100% of the providers have been educated on the protocol. Lab work is built into the lab protocol so most patients are screened based on criteria.

Yearly education will be completed with the providers

Number of providers that adopt a policy to refer to NDPP, including bi‐annual retrospective querying

Referring to NDPP is built into the Pre‐Diabetes protocol. There is no way to track these referrals.


Number of NDPP classes that send reminders to patients

2


Number of patients with A1C in pre‐diabetic range identified by retrospective querying that are recalled into clinic using reminders

0 Evaluation of reports that may be available in Cerner to track this information in 2019‐20

Number of NDPP ‐ classes that start per year

Two classes have been provided by the Diabetes Care Center and Community Health

The plan is to continue to offer at least one class per year

Maintain at least one trained lifestyle coach on staff RWHS has four trained lifestyle coaches. The plan is to offer lifestyle coaching

classes each year to increase this number Number of employees/spouses that

complete biometric screening 1300 Screening will be provided annually

Number of employees/spouses receiving A1C 32 Screening will be provided annually

Number of employees who participate in a NDPP class per year 3

In 2019, classes will be offered on campus through the Education Department as part of the wellness program for employees.


Objective 1B.2 Reduce the diabetes death rate (Healthy People 2020: D‐3) Strategy Diabetes Management: Intensive Lifestyle Interventions for Patients with Type 2 Diabetes (Source: The Community

Guide) Activity Performance Measures Target Date Lead Partners

Dietitian becomes trained in diabetes self‐management education (DSME)

At least one dietitian is successfully trained in diabetes self‐management education (DMSE)

December 31, 2020 Diabetes Care Center

Provide DSME to patients in need Percentage of identified patients who receive DSME per year December 31, 2020 Diabetes Care Center

Achieve status as American Diabetes Association recognized education program

Successful recognition as ADA Recognized Education Program December 31, 2020 Diabetes Care Center


At least one dietitian is successfully trained in diabetes self‐management education (DMSE)

The dietician in the Diabetes Care Center (DCC) is trained in DMSE. All of the dieticians in the RWMC Dietary department are trained.

RWHS will continue to maintain dietitians who are trained in DMSE

Percentage of identified patients who receive DSME per year

Over 120 people have been trained in DSME in both RWMC and RWPC


Successful recognition as ADA Recognized Education Program

Diabetes Care Center is currently seeking recognition

The goal is to obtain recognition as ADA Recognized Education Program in 2019‐20

https://www.thecommunityguide.org/sites/default/files/assets/OnePager-Diabetes-Management-LifestyleChanges.pdf

https://www.thecommunityguide.org/sites/default/files/assets/OnePager-Diabetes-Management-LifestyleChanges.pdf


Priority Area 1C: Cancer Objective 1C.1 Increase the proportion of adults who were counseled about cancer screening consistent with current guidelines

(Healthy People 2020: C‐18) Strategy Cancer Screening: Multicomponent Interventions—Colorectal Cancer (Source: The Community Guide)

Activity Performance Measures Target Date Lead Partners Attend community events to educate the public on the importance of cancer screening and early detection

Number of people educated during community events

Number of events attended per year December 31, 2020 Community Health Director

Social media articles, radio spots and interviews, television spots and interviews, and local and regional newspaper articles published on the importance of cancer screening and early detection

Number of social media articles per year




December 31, 2020 Community Health Director

One‐on‐one education on the importance of screening with FOBT kits

Number of FOBT kits distributed per year

Number of FOBT kits returned per year


One‐on‐one education to help overcome barriers to cancer screenings during wellness visits

Number of patients educated during wellness visits December 31, 2020 RWPC providers

Utilize patient portal reminders for FOBT, and colonoscopy cancer

screening reminders

Number of reminders sent out per year December 31, 2020 RWPC providers

Counselling phone call after positive FOBT. Screen questions then refer to

primary provider.

Number of positive FOBT kits that came back positive per year

Number of referrals to primary provider per year after a positive FOBT


https://www.thecommunityguide.org/findings/cancer-screening-multicomponent-interventions-colorectal-cancer




Over 200 people were educated in 2018 at community events

A colon cancer program for FOBT kit distribution and community education will be planned for 2019‐20.

Number of events attended per year 19 A colon cancer program for FOBT kit distribution and community education will be planned for 2019‐20.

Number of social media articles per year 5 A colon cancer program for FOBT kit distribution and

community education will be planned for 2019‐20.

Number of radio spots and interviews per year 140 A colon cancer program for FOBT kit distribution and



3

A colon cancer program for FOBT kit distribution and community education will be planned for 2019‐20.

Number of local and regional newspaper articles per year 4 A colon cancer program for FOBT kit distribution and


Number of FOBT kits distributed per year 286 A colon cancer program for FOBT kit distribution and


Number of FOBT kits returned per year 61 A colon cancer program for FOBT kit distribution and


Number of patients educated during wellness visits

Over 500 people were educated during wellness visits

Evaluation of reports that may be available in Cerner to track this information will be completed in 2019‐20

Number of reminders sent out per year

Over 300 reminders were distributed

A colon cancer program for FOBT kit distribution and community education will be planned for 2019‐20. Evaluation of reports that may be available in Cerner to track this information will be completed in 2019‐20.

Number of positive FOBT kits that came back positive per year 2 A colon cancer program for FOBT kit distribution and


Number of referrals to primary provider per year after a positive FOBT

2 A colon cancer program for FOBT kit distribution and community education will be planned for 2019‐20.


Objective 1C.2 Increase the proportion of adults who were counseled about cancer screening consistent with current guidelines (Healthy People 2020: C‐18)

Strategy Cancer Screening: Multicomponent Interventions—Breast Cancer (Source: The Community Guide) Activity Performance Measures Target Date Lead Partners

Attend community events to educate the public on the importance of cancer screening and early detection

Number of people educated at community events









Number of patients educated during wellness visits December 31, 2020 RWPC Providers

Utilize patient portal reminders for mammogram screening reminders

Number of reminders sent out per year December 31, 2020 RWPC Providers

https://www.thecommunityguide.org/findings/cancer-screening-multicomponent-interventions-breast-cancer




Over 2,000 people educated during community events

A breast health awareness promotion program will be planned for 2019‐20.

Number of events attended per year 3 A breast health awareness promotion program will be planned for 2019‐20.

Number of social media articles per year 16 A breast health awareness promotion program will be planned for 2019‐20.

Number of radio spots and interviews per year 190 A breast health awareness promotion

program will be planned for 2019‐20.

Number of television spots and interviews per year 0 A breast health awareness promotion


Number of local and regional newspaper articles per year 2 A breast health awareness promotion


Number of patients educated during wellness visits

175 women educated on breast cancer screening during Medicare wellness visits


Number of reminders sent out per year Over 3,000 mammogram reminders were sent out to area women



Objective 1C.3 Increase the proportion of adults who were counseled about cancer screening consistent with current guidelines (Healthy People 2020: C‐18)

Strategy Cancer Screening: Multicomponent Interventions—Cervical Cancer (Source: The Community Guide) Activity Performance Measures Target Date Lead Partners

Attend community events to educate the public on the importance of cancer screening and early detection










Number of patients educated during wellness visits December 31, 2020 RWPC Providers

Utilize patient portal reminders for PAP smear and vaginal exams for cancer screening reminders

Number of reminders sent out per year December 31, 2020 RWPC Providers

https://www.thecommunityguide.org/findings/cancer-screening-multicomponent-interventions-cervical-cancer



Number of people educated during community events Over 5,000

An HPV vaccine and cervical cancer education program will be planned for 2019‐20.

Number of events attended per year 12 An HPV vaccine and cervical cancer education program will be planned for 2019‐20.

Number of social media articles per year 1 An HPV vaccine and cervical cancer education program will be planned for 2019‐20.

Number of radio spots and interviews per year 57


Number of television spots and interviews per year 0


Number of local and regional newspaper articles per year 1


Number of patients educated during wellness visits Unable to track this Information

Evaluation of reports that may be available in Cerner to track this information will be completed in 2019‐20.

Number of reminders sent out per year Unable to track this Information

Evaluation of reports that may be available in Cerner to track this information will be completed in 2019‐20.


Objective 1C.4 Reduce the proportion of females with human papillomavirus (HPV) infection (Healthy People 2020: STD‐9) Strategy Vaccination Programs: Community‐Based Interventions Implemented in Combination (Source: The Community Guide)

School based immunization clinics to increase the education and immunization rates against HPV

Number of off‐site immunization clinics hosted by schools per year

Number of children immunized at the school based clinics per year

Number of children immunized against HPV


Education of students and parents in a classroom setting prior to the school based immunization clinic

The number of students educated per year

The number of parents educated per year


Recall/reminder calls to improve completion of HPV series

Number of reminder calls each year Number of completed HPV series December 31, 2020 Community Health Director

Education of medical staff at RWHS on the importance of HPV vaccine

Number of providers educated per year December 31, 2020 Community Health Director

Educate the public on the importance of HPV vaccine at community events Number of events attended per year December 31, 2020 Community Health Director

https://www.thecommunityguide.org/findings/vaccination-programs-community-based-interventions-implemented-combination



Number of off‐site immunization clinics hosted by schools per year 5

A plan to include both Scotts Bluff County and Banner County schools as off‐site immunization clinics in 2019‐20

Number of children immunized at the school based clinics per year 585 An HPV vaccine education program will be

planned for 2019‐20.

Number of children immunized with HPV 550 immunized with private vaccine 392 immunized with VFC vaccine

A plan to include both Scotts Bluff County and Banner County schools as off‐site immunization clinics in 2019‐20

The number of students educated per year

Over 1,000 students were educated regarding HPV

An HPV vaccine education program will be planned for 2019‐20.

The number of parents educated per year Over 1,800 parents were educated regarding HPV

An HPV vaccine education program will be planned for 2019‐20.

Number of reminder calls each year Over 1,100 reminder calls were made A plan to include both Scotts Bluff County and Banner County schools as off‐site immunization clinics in 2019‐20

Number of completed HPV series Unable to track this number


Number of medical staff educated per year 100 An HPV vaccine education program will be

planned for 2019‐20.

Number of events attended per year 10 An HPV vaccine education program will be planned for 2019‐20.


Strategies for Priority Area 1: Chronic Disease https://www.thecommunityguide.org/findings/cancer‐screening‐multicomponent‐interventions‐colorectal‐cancer

https://www.thecommunityguide.org/findings/cancer‐screening‐multicomponent‐interventions‐breast‐cancer

https://www.thecommunityguide.org/findings/cancer‐screening‐multicomponent‐interventions‐cervical‐cancer

https://www.thecommunityguide.org/findings/vaccination‐programs‐community‐based‐interventions‐implemented‐combination

https://www.thecommunityguide.org/findings/cardiovascular‐disease‐team‐based‐care‐improve‐blood‐pressure‐control

https://www.thecommunityguide.org/findings/cardiovascular‐disease‐self‐measured‐blood‐pressure‐when‐used‐alone

https://www.thecommunityguide.org/findings/diabetes‐combined‐diet‐and‐physical‐activity‐promotion‐programs‐prevent‐type‐2‐diabetes









https://www.thecommunityguide.org/findings/cardiovascular-disease-team-based-care-improve-blood-pressure-control

https://www.thecommunityguide.org/findings/cardiovascular-disease-team-based-care-improve-blood-pressure-control



https://www.thecommunityguide.org/findings/diabetes-combined-diet-and-physical-activity-promotion-programs-prevent-type-2-diabetes

https://www.thecommunityguide.org/findings/diabetes-combined-diet-and-physical-activity-promotion-programs-prevent-type-2-diabetes


Priority Area 2: Injury Prevention

Priority Area 2A: Unintentional Injuries Objective 2A.1 Reduce motor vehicle crash‐related deaths per 100,000 population (Healthy People 2020: IVP‐13.1) Objective 2A.2 Reduce non‐fatal motor vehicle crash‐related injuries (Healthy People 2020: IVP‐14) Strategy Health Communication and Social Marketing: Campaigns That Include Mass Media and Health‐Related Product

Distribution (Source: The Community Guide) Activity Performance Measures Target Date Lead Partners

Coordinate and implement a full mock trauma event in area high schools

80% of Scotts Bluff County high schools will have participated in a mock trauma

December 31, 2020 Regional West Medical Center Trauma Services

Injury Prevention

Host distracted driving and drunk goggles education activities in area high schools after prom parties

80% of Scotts Bluff County high schools will have injury prevention activity at their after prom parties

December 31, 2020 Regional West Medical Center Trauma Services

Injury Prevention

Educate the Trauma Services director about Stop the Bleed

Passing the basic Stop the Bleed course

Passing the Train the Trainer Stop the Bleed course

June 30, 2018 Approved Stop the Bleed Trainer

Train Key Trauma Services and Community Health personnel on Stop the Bleed course

Passing the Basic Stop the Bleed course

Passing the Train the Trainer Stop the Bleed course

June 30, 2018 Trauma Services Director

Educate the public and Regional West Health Services on basic Stop the Bleed course

One class per quarter per year December 31,2020 RWHS Stop the Bleed‐ trained employees




80% of Scotts Bluff County high schools will have participated in a mock trauma

Three schools have been contacted to plan mock trauma events. RWHS assisted with Gering Schools in an event the school planned.

Mitchell and Morrill schools will be planning a mock trauma for 2019‐20.

80% of Scotts Bluff County high schools will have injury prevention activity at their after prom parties

Schools have been contacted to plan for 2019‐20.

Injury Prevention Coordinator is collaborating with Mitchell and Morrill schools to hold these events in 2019.

Passing the basic Stop the Bleed course (Trauma Services Director)

The Trauma Services director and manager passed the Stop the Bleed course.

Completed

Passing the Train the Trainer Stop the Bleed course (Trauma Services Director)

The Trauma Services director and manager passed the Stop the Bleed Train the Trainer course.

Completed

Passing the basic Stop the Bleed course (Community Health personnel)

Community Health personnel and the Injury Prevention Coordinator completed the Train the Trainer training

Completed

Passing the Train the Trainer Stop the Bleed course (Community Health personnel)

10 Community Health personnel and the Injury Prevention Coordinator completed the Train the Trainer training

Completed

One class per quarter per year 27 classes with 923 participants RWMC will continue to reach out to Scotts Bluff County schools, clubs, and organizations


Objective 2A.3 Reduce non‐fatal all‐terrain vehicle accidents Strategy Health Communication and Social Marketing: Campaigns That Include Mass Media and Health‐Related Product


Kids Safety Safari Number of participants 18 and under who attend sessions on ATV safety December 31, 2020

Regional West Medical Center Community Health

Injury Prevention

Farm and Ranch Show

Number of participants who attend education sessions on farm and ranch ATV safety

December 31, 2020 Regional West Medical

Center Community Health Injury Prevention


Number of participants 18 and under who attend sessions on ATV safety

900 participants under the age of 18 attended the Kids Safety Safari and had the opportunity to visit the ATV safety booth

RWMC will continue to have ATV safety as part of the Kids Safety Safari

Number of participants who attend education sessions on ATV safety on farms and ranches

Planning for 2020 Farm and Ranch show Plan to have ATV safety at the 2020 Farm and Ranch show in 2020



Objective 2A.4 Prevent an increase in fall‐related deaths (Healthy People 2020: IVP‐23) Strategy Health Communication and Social Marketing: Campaigns That Include Mass Media and Health‐Related Product


Train Injury Prevention Coordinator in Stepping On

Passing the two‐day course to become a trained Stepping On leader December 31, 2020 Approved Stepping On

leader training

Increase number of Stepping On classes offered from 2 per year to 3 per year

Provide 3 classes per year with the Injury Prevention Coordinator teaching a class at the local community centers or nursing homes in Scotts Bluff County



Educate providers on importance of referral to Stepping On

Number of area health care providers educated about Stepping On

Number of referrals from area physicians at discharge from hospital or direct from office



Train Injury Prevention Coordinator in Tai Chi for balance

Passing the two‐day course to become a trained Tai Chi leader December 31, 2020 Approved Tai Chi leader

training

Offer Tai Chi classes in the community

Provide 1 class with the Injury Prevention coordinator teaching a class at the local community centers or nursing homes in Scotts Bluff County per year.



Educate providers on importance of referral to Tai Chi

Number of area health care providers educated on Tai Chi







Passing the two‐day course to become a trained Stepping On leader Injury Prevention Coordinator trained Completed

Provide 3 classes per year with the Injury Prevention Coordinator teaching a class at the local community centers or nursing homes in Scotts Bluff County

3 Stepping On classes completed in 2018 3 Stepping On classes planned for 2019

Number of area health care providers educated about Stepping On

All hospitalist and RWPC providers educated on the Stepping On classes and

how to make a referral in November, 2018 Yearly education for outreach to providers


4


Passing the two‐day course to become a trained Tai Chi leader Injury Prevention Coordinator trained Completed

Provide 1 class with the Injury Prevention Coordinator teaching a class at the local community centers or nursing homes in Scotts Bluff County per year

1 Tai Chi Class completed in 2018 3 classes planned for 2019

Number of area health care providers educated about Tai Chi

All hospitalist and RWPC providers educated on the Stepping On classes and how to make a referral in November 2018

Yearly education for outreach to providers


3



Priority Area 2B: Intentional Injuries Objective 2B.1 Reduce violence by current or former intimate partners (Healthy People 2020: IVP‐39). Strategy Developing strategic and action plans to reduce violence by current or former intimate partners (Source: Community

Toolbox ) Activity Performance Measures Target Date Lead Partners

Educate providers on importance of referral to DOVES

Number of area providers and in‐ house hospital staff educated on DOVES

Number of referrals made to DOVES annually

December 31, 2020 Injury Prevention Coordinator


Number of area providers and in‐house hospital staff educated on DOVES

Presentations by Doves personnel at unit staff meetings

Presentations by Doves personnel at unit staff meetings planned in 2019‐20

Number of referrals made to DOVES per year Unable to track this number

Evaluation of reports that may be available in Cerner to track this information in 2019‐20.

http://ctb.ku.edu/en/developing-strategic-and-action-plans

http://ctb.ku.edu/en/developing-strategic-and-action-plans


Objective 2B.2 Reduce non‐fatal child maltreatment (Healthy People 2020: IVP‐28). Strategy Early Childhood Home Visitation to Prevent Child Maltreatment (Source: The Community Guide)


Educate area providers and in‐house hospital staff about Healthy Families America and Early Head Start referrals

Number of providers educated about HFA and Early Head Start

Number of referrals made per year to Healthy Families America and Early Head Start

December 31, 2020 Injury Prevention Coordinator


Number of providers educated about HFA and Early Head Start

Planning to have Healthy Families America and Early Head Start personnel speak at unit staff meetings

Planning to have Healthy Families America and Early Head Start personnel speak at unit staff meetings

Number of referrals made per year to Healthy Families America and Early Head Start

Unable to track this number


https://www.thecommunityguide.org/findings/violence-early-childhood-home-visitation-prevent-child-maltreatment


Objective 2B.3 Reduce suicide death rate (Healthy People 2020: MHMD‐1). Strategy Health Communication and Social Marketing: Campaigns That Include Mass Media and Health‐Related Product


Increase the number of Regional West Health Services employees who know the warning signs and how to help someone who is at risk for suicide as identified in the Nebraska State improvement plan 2016‐2020

Number of Regional West Health Services employees trained per year in the warning signs and how to help someone who is at risk


Explore the development of evidence based strategies for suicide prevention and possible funding available

Number of strategies pursued per year December 31, 2020 Regional West Grant Writer

and Community Health


Number of Regional West Health Services employees trained per year in the warning signs and how to help someone who is at risk

1,417 staff completed this training as part of annual compliance modules

This will be a part of the ongoing annual compliance modules in 2019 and 2020

Number of strategies pursued per year Review of possible applications within the new electronic health record to address suicide prevention with inpatient clients

Implement identified applications within the new electronic health record in 2019



Objective 2B.4 Reduce drug overdose deaths involving natural, semi‐synthetic, and synthetic opioids, excluding heroin (Healthy People 2020: MPS‐2.4.1).

Strategy Health Communication and Social Marketing: Campaigns That Include Mass Media and Health‐Related Product Distribution (Source: The Community Guide)


Educate medical providers in Scotts Bluff County for safe opioid prescription and engagement

Number of medical providers educated in Scotts Bluff County each year

Number of providers in Scotts Bluff County following safe opioid prescription

December 31, 2020

Regional West Health Services

Panhandle Public Health

Educate providers on CDC guidelines

Number of providers educated in Scotts Bluff County each year

Number of providers following CDC guidelines

December 31, 2020


Scotts Bluff County Health Panhandle Public Health

Educate nurses on functional pain control not “0” pain

Number of nurses educated per year Numbers of patients educated that “0”

pain is not always an option

December 31, 2020


Provide education to the community of Scotts Bluff County about the dangers of opioids

Number of community members in Scotts Bluff County educated per year

December 31, 2020

Community Health Panhandle Public Health

Provide education to Scotts Bluff County EMS providers on naloxone use


December 31, 2020


Panhandle Public Health

Educate dental providers in Scotts Bluff County about safe opioid prescription and engagement

Number of dental providers educated in Scotts Bluff County each year

Number of providers following safe opioid prescription

December 31, 2020


Attempt to obtain funding through grants or other sources to develop safe drug disposal project plan to ensure more than yearly take back of medications

Number of grants pursued per year December 31, 2020

Regional West Grant Writer Community Health

Educate Regional West Health Services providers and pathologists, and Scotts Bluff County coroners about post‐mortem toxicology screening

Number of providers, pathologists, and Scotts Bluff County coroners educated each year

December 31, 2020





Number of medical providers educated in Scotts Bluff County each year

107 providers attended a CME addressing opioids

CMEs will be offered in 2019 addressing opioids

Number of providers in Scotts Bluff County following safe opioid prescription

Educational materials provided to employees

Opioid Stewardship Plan will be implemented in 2019‐20

Number of providers educated in Scotts Bluff County each year 107 Opioid Stewardship Plan will be

implemented in 2019‐20

Number of providers following CDC guidelines Unknown Opioid Stewardship Plan will be


Number of nurses educated per year Educational materials provided to employees


Numbers of patients educated that “0” pain is not always an option Unknown

This education is provided to patients. In 2019‐20 will assess how to gather this data from Cerner

Number of community members in Scotts Bluff County educated per year

Over 5,000 provided information at 2 community events.


Number of Scotts Bluff County EMS personnel trained each year 10 Opioid Stewardship Plan will be


Number of dental providers educated in Scotts Bluff County each year 0 Opioid Stewardship Plan will be


Number of providers following safe opioid prescription 107 providers were educated Opioid Stewardship Plan will be


Number of grants pursued per year 0 Opioid Stewardship Plan will be implemented in 2019‐20

Number of providers, pathologists, and Scotts Bluff County coroners educated each year 12 Opioid Stewardship Plan will be



Strategies for Priority Area 2: Injury Prevention https://www.ncoa.org/healthy‐aging/falls‐prevention/falls‐prevention‐programs‐for‐older‐adults/

https://www.thecommunityguide.org/findings/violence‐early‐childhood‐home‐visitation‐prevent‐child‐maltreatment

https://www.thecommunityguide.org/findings/health‐communication‐and‐social‐marketing‐campaigns‐include‐mass‐media‐and‐health‐related

https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/suicide‐risk‐in‐adolescents‐adults‐and‐older‐adults‐screening

http://dhhs.ne.gov/publichealth/PDMP/Pages/Home.aspx

https://www.ncoa.org/healthy-aging/falls-prevention/falls-prevention-programs-for-older-adults/





https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/suicide-risk-in-adolescents-adults-and-older-adults-screening

https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/suicide-risk-in-adolescents-adults-and-older-adults-screening

http://dhhs.ne.gov/publichealth/PDMP/Pages/Home.aspx


Priority Area 3: Behavioral Health

Objective 3A.1 Increase depression screening by primary care providers (MHMD‐11) Strategy DASS‐21 from Interactive Health; Depression in Adults: Screening; Depression in Children and Adolescents: Screening

(Source: Community Preventive Services Task Force, 2009) Activity Performance Measures Target Date Lead Partners

Provide training to nurses and primary care providers regarding depression screening tool, protocol, and available resources (for anxiety and depression) (screening tools will include: PHQ‐9 (depression) and the GAD–7 (Anxiety) build in Cerner)

# primary care providers trained # nurses trained July 2020

Cerner Physicians Clinic, including

Behavioral Health/Psychiatry RCI

Interactive health coaches reach out to employees/spouses that were identified as moderate‐ to high‐risk for depression and anxiety on DASS 21

# employees (and spouses) at risk for depression that receive outreach call from IH

# employees (and spouses) at risk for anxiety that receive outreach call from IH

July 2020 Interactive Health Wellness Team

Interactive Health refer moderate‐ to high‐risk employees/spouses to primary care providers

# employees (and spouses) that are referred to primary care provider

# screenings completed vs # referrals from IH health coaches

July 2020

Interactive Health Wellness Team

RCI Physicians Clinic



# primary care providers trained 12 providers were trained Assessment and implementation of tools provided in Cerner will be completed in 2019‐20

# nurses trained 24 nurses have been trained Assessment and implementation of tools provided in Cerner will be completed in 2019‐20

# employees (and spouses) at risk for depression that receive outreach call from IH


Evaluation of reports that may be available from Interactive Health to track this information will be completed in 2019‐20

# employees (and spouses) at risk for anxiety that receive outreach call from IH



# employees (and spouses) that are referred to primary care provider Unable to track this number


# screenings completed vs # referrals from IH health coaches Unable to track this number



Objective 3A.2 Increase understanding, recognition, and response to the effects of all types of trauma Strategy Educate Regional West employees about the impact of trauma on patients, co‐workers, friends, family, and themselves


Partner with PFAC, the Behavioral Health/Psychiatry clinic to explore opportunities to implement Trauma Informed Care within the organizational framework of Regional West Health Services

# of PFAC members engaged in process

July 2020

Patient and Family Advisory Committee (PFAC)

Behavioral Health and Psychiatry Clinic Wellness Team


# of PFAC members engaged in process 0 Plan to develop specific questions regarding Trauma Informed Care to address the PFAC


Objective 3A.3 Increase employee resilience and well‐being Strategy Decrease employee/spouse health risk behaviors (modifiable lifestyle patterns including exercise, nutrition, alcohol

and tobacco use) that impact emotional and physical health (mind‐body connection) Activity Performance Measures Target Date Lead Partners

Offer opportunities for yoga classes to employees (and spouses)

# employees that attend yoga classes # spouses that attend yoga classes July 2020 Wellness Team

Community Health

Offer mindfulness, depression and/or anxiety related educational opportunities to employees (and spouses)

# employees/spouses that complete mindfulness, depression, anxiety activity

# employees/spouses that access health coach from IH

# employees that access EAP

July 2020 Wellness Team

Interactive Health Community Health

Incentivize active living by providing health plan premium discount to employees and spouses on Regional West’s health plan

# employees that are eligible for the health plan discount July 2020

Wellness Team Human Resources

RCI

Provide educational materials regarding depression, anxiety, trauma, and burnout at wellness fairs

# employees/spouses that attend fairs

# materials on each topic that are handed out

# referrals from health fair related to topics

July 2020 Wellness Team

Offer an array of programs, resources and services to all employees and their spouses, that aim at reducing both physical health and emotional health risk factors

# employees/spouses that attend at least one of the two annual wellness fairs

# employees that self‐report use of one or more of the available programs

July 2020 Wellness Team Interactive Health



# employees that attend yoga classes Classes not yet available Assess the possibility of classes in 2019‐20

# spouses that attend yoga classes Classes not yet available Assess the possibility of classes in 2019‐20

# employees/spouses that complete mindfulness, depression, anxiety activity

Data not provided in report

Assess the possibility of data availability for years 2019‐20

# employees/spouses that access health coach from IH Data not provided in report Assess the possibility of data availability for

years 2019‐20

# employees that access EAP 391 Newsletter posted in ADP and new hire packets

# employees that are eligible for the health plan discount 1,460 This will be offered in 2019‐20

# employees/spouses that attend fairs Approximately 800 This will be offered in 2019‐20

# materials on each topic that are handed out Approximately 800 This will be offered in 2019‐20

# referrals related to topics that come from health fair Unknown Assess the possibility of data availability for

years 2019‐20

# employees/spouses that attend at least one of the two annual Wellness Fairs

800 This will be offered in 2019‐20

# employees that self‐report use of one or more of the available programs Unknown Assess the possibility of data availability for

years 2019‐20


Strategies for Priority Area 3: Behavioral Health https://www.thecommunityguide.org/findings/worksite‐assessment‐health‐risks‐feedback‐ahrf‐change‐employees‐health‐ahrf‐plus‐health

https://www.thecommunityguide.org/findings/mental‐health‐and‐mental‐illness‐collaborative‐care‐management‐depressive‐disorders

https://www.thecommunityguide.org/findings/health‐communication‐and‐social‐marketing‐campaigns‐include‐mass‐media‐and‐health‐related

https://www.thecommunityguide.org/findings/worksite-assessment-health-risks-feedback-ahrf-change-employees-health-ahrf-plus-health


https://www.thecommunityguide.org/findings/mental-health-and-mental-illness-collaborative-care-management-depressive-disorders

https://www.thecommunityguide.org/findings/mental-health-and-mental-illness-collaborative-care-management-depressive-disorders




Priority Area 4: Access to Care

Objective 4A.1 Reduce the proportion of persons who are unable to obtain or delay in obtaining necessary medical care (Healthy People 2020: AHS‐6.2)

Strategy Reducing Structural Barriers (Source: The Community Guide) Breast Cancer, Colorectal Cancer, Cervical Cancer


Modify hours of service to meet client needs

Number of immunization clinics held outside normal clinic hours per year

Number of mammography hours scheduled outside normal clinic hours per year


Offer services in alternative or non‐clinical settings

Number of biometric screenings held outside of clinics per year

Number of immunizations given off‐site per year

Number of FOBT education courses held off‐site per year


Eliminate or simplify administrative procedures and other obstacles

Number of walk‐in immunization clinics

Number of walk‐in mammogram clinics per year

Number of walk‐in sports physical clinics per year

Number of navigation to services performed by the Community Health worker per year


Pursue funding to reduce barriers to transportation

Number of funding opportunities pursued per year December 31, 2020 Community Health Director

Portal, telephone, and mail reminders

Number of portal reminders sent each year

Number of telephone reminders per year

December, 31, 2020 Community Health Director

https://www.thecommunityguide.org/findings/cancer-screening-reducing-structural-barriers-clients-breast-cancer

https://www.thecommunityguide.org/findings/cancer-screening-reducing-structural-barriers-clients-colorectal-cancer

https://www.thecommunityguide.org/findings/cancer-screening-reducing-structural-barriers-clients-cervical-cancer



Number of immunization clinics held outside normal clinic hours per year 36 RWHS will coordinate plans to reduce

structural barriers to care in 2019‐20

Number of mammography hours scheduled outside normal clinic hours per year Over 100 hours RWHS will coordinate plans to reduce


Number of biometric screenings held outside of clinics per year 12 RWHS will coordinate plans to reduce


Number of immunizations given off‐site per year Over 3,000 RWHS will coordinate plans to reduce


Number of FOBT education courses held off‐site per year 19 RWHS will coordinate plans to reduce


Number of walk‐in immunization clinics 52 RWHS will coordinate plans to reduce structural barriers to care in 2019‐20

Number of walk‐in mammogram clinics per year 52 RWHS will coordinate plans to reduce


Number of walk‐in sports physical clinics per year 3 RWHS will coordinate plans to reduce

structural barriers to care in 2019‐20.

Number of navigation to services performed by the Community Health Worker per year 10 RWHS will coordinate plans to reduce


Number of funding opportunities pursued per year 3 RWHS will coordinate plans to reduce


Number of portal reminders sent each year Number of telephone reminders per year Over 5,000



Strategies for Priority Area 4: Access to Care https://www.thecommunityguide.org/findings/health‐communication‐and‐social‐marketing‐campaigns‐include‐mass‐media‐and‐health‐related

https://www.thecommunityguide.org/findings/cancer‐screening‐multicomponent‐interventions‐colorectal‐cancer

https://www.thecommunityguide.org/findings/cancer‐screening‐multicomponent‐interventions‐breast‐cancer

https://www.thecommunityguide.org/findings/cancer‐screening‐multicomponent‐interventions‐cervical‐cancer

https://www.thecommunityguide.org/findings/vaccination‐programs‐community‐based‐interventions‐implemented‐combination

https://www.thecommunityguide.org/findings/worksite‐assessment‐health‐risks‐feedback‐ahrf‐change‐employees‐health‐ahrf‐plus‐health














Considerations for Revisions Each annual report of the Community Health Improvement Plan has led to revisions. These revisions are the result of an ever‐evolving community and the needs identified. This objective and strategy will be added as Objective 1C.5

Increase the proportion of adults who were counseled about cancer screening consistent with current guidelines (Healthy People 2020: C‐18) Cancer Screening: Annual screening for lung cancer with low‐dose computed tomography in adults aged 55 to 80 years who have a 30 pack‐year smoking history and currently smoke or have quit within the past 15 years. (Source: The U.S. Preventive Services Task Force)

https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/high-blood-pressure-in-adults-screening


Conclusion The CHIP serves as a roadmap for a continuous health improvement process for Regional West Medical Services. It is not intended to be an exhaustive list. Beyond what is included in the CHIP, it is expected that initiatives and efforts that are currently ongoing will continue. Progress of the work will be evaluated on an ongoing basis to identify areas for possible improvement or revision. We would like to thank Panhandle Public Health District and The Rural Nebraska Healthcare Network for their assistance in the completion of this report.


Glossary BRFSS – Behavioral Risk Factor Surveillance System

EMS- Emergency Medical Services

FOBT – Fecal Occult Blood Test

NDPP – National Diabetes Prevention Program

NRPFSS – Nebraska Risk and Protective Factor Student Survey

PFAC – Patient and Family Advisory Committee

RWHS – Regional West Health Services

RWMC – Regional West Medical Center

RWPC – Regional West Physicians Clinic

SBC – Scotts Bluff County

USPSTF – United States Preventive Services Task Force YRBS – Youth Risk Factor Survey

Documents

West Community Health · 2019-12-10 · This is the annual report of the 2018‐2020 Regional West Medical Center Community Health Improvement Plan (CHIP). The Public Health Accreditation